| NPI | 1124220199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.091607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.091607) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-08-07 |